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Timothy Primrose, NP
Neonatal Nurse Practitioner in Mishawaka, Indiana
NPI 1578934402

Timothy Primrose is a Neonatal Nurse Practitioner based in South Bend, IN and is specialized in Neonatal. Timothy Primrose practices in Mishawaka, IN and has the professional credentials of NP. The NPI Number for Timothy Primrose is 1578934402 and holds a License No. 71005880A (Indiana).

The current practice location address for Timothy Primrose is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-4145 and via fax at 574-335-4146.

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578934402
Provider Name
Timothy Primrose
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46617-2057
Phone Number
574-335-4145
Fax Number
574-335-4146
Provider Enumeration Date
10/19/2015
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000969840 01 IN BCBS
201327760 05 IN
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-4145
Fax Number
574-335-4146
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-4145
Fax Number
574-335-4146
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71005880A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
71005880A (Indiana)
Definition
Definition to come...
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